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NPI 1467700955

NPI 1467700955 : SOUTH HILLS PHYSICAL MEDICINE INC : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1467700955
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUTH HILLS PHYSICAL MEDICINE INC 
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Dates
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    Enumeration Date     |    08/15/2012
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    Last Update Date     |    10/04/2012
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Provider Practice Location Address
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    Address Line         |    5301 GROVE RD M109
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15236-1691
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    Country              |    US
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    Telephone            |    412-885-3533
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    Fax                  |    412-885-3417
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Provider Business Mailing Address
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    Address Line         |    5301 GROVE RD M109
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15236-1691
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    Country              |    US
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    Telephone            |    412-885-3533
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    Fax                  |    412-885-3417
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    DR. RICHARD H ROBBINS 
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    Credential           |    D.C.
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    Telephone            |    412-885-3533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC007155L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC010489
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    OS015059
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    License Number State |    PA
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